Carrie Docherty, PHD, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001155A Issued in IN

Practice address

1025 E 7TH St
Bloomington, IN 47405-7109

Phone

(812) 856-6035

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carrie Docherty Steele Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1619353265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N PRAIRIE GREEN CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474088701",
            "telephone_number": "812-325-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 7TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474057109",
            "telephone_number": "812-856-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCHERTY",
        "first_name": "CARRIE",
        "credential": "PHD, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "STEELE",
            "middle_name": "DOCHERTY",
            "credential": "PHD, ATC, LAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica Divine, CNM
• Samantha Jo Divine, PHARMD
• Abigail L Dixon, RBT
• Ramonita Dizon, OTR
• Joselyn Dlouhy, O.D.
• Lezlee A Dodgion, MSW, LCSW
• Michelle Dodson
• Kimberly Michelle Doebler, OT
• Philip Doering, MD
• Toni Dominguez, WRAPAROUND

• Athletic Trainer in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.